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Kansas rates for HCPCS 0061U

Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin [ctHbR], papillary and reticular dermal hemoglobin concentrations [ctHb1 and ctHb2]), using spatial frequency domain imaging (SFDI) and multi-spectral analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.63 / $51.87 / $80.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $24.35 / $25.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $41.13 / $56.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $25.10 / $33.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $16.71 / $125.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $31.68